Aims: The purpose of this study is the evaluation of the ultrasound screening process for DDH in a population of neonates from the prefecture of Chania, in Western Crete, an area with a history of excessively high incidence of DDH. Methods: Within the period between 1/7/99 and 1/7/01 (24 months) 1247 neonates (2494 hips) were examined clinically and ultrasonograþcally (transverse, oblique, dynamique views), all babies whose parents both descend from this area for generations. They were referred by a paediatrician for one or more of the following reasons: limited hip abduction (48%), hip laxity (6%), positive family DDH history (27%), musculoskeletal congenital abnormalities (11%), breech delivery (5.1%), paediatricianñs or parentsñ insecurity (18%).Results: We had the following þndings: signiþcant dysplasia-Graf III in 3.7%, milder dysplasia Ð Graf IIc, d in 7.2%, immature but satisfactory hips Ð Graf IIa, b in 19.3% and normal hips in 69.5% of the hips. Double diapers (sheets) were used in 43%, Frejka in 3% and Pavlik harness in 4.2% of the cases. In two cases the dysplasia persisted and we had to use a spica cast. Satisfactory results have been observed in all but one case. X-ray control was necessary in six children. Conclusion: Hip ultrasound, in experienced hands, is a safe, quick, well tolerated, non-inventory method for DDH screening, treatment and follow-up in neonates Ð babies in their þrst year of life.

Aim: The purpose of this prospective study was an evaluation of results in primary treatment of flexor tendon laceration in zone II. Special emphasis has been given to the postoperative rehabilitation program.

Material and Methods: Nineteen patients, (23 fingers), with laceration of the flexor tendons in zone II were treated operatively. Twelve males and seven females were included in the study. Their mean age was 28 (range, 16 to 50) years. In twelve cases a concomitant laceration of the digital nerve was present, hi all cases primary repair of all injured tendons and nerves was performed and a dorsal splint was applied. On third to fifth postoperative day an exercise program commenced involving passive flexion-active extension of the injured fingers. Eighteen (22 fingers) of 19 patients completed the follow-up.

Results: The results were estimated according to Strickland’s original classification system. In fifteen cases the result was excellent, in five good, and in two fair. Conclusions: After primary repair of injured flexor tendons, close follow-up, early protected motion and unrestricted motion of the interphalangeal joints affers the best chance of restoring optimal function to the hand.